Biodegradable Pancreatic Stent in Endoscopic Resection of an Ampulloma in Argentina: A Case Report
DOI:
https://doi.org/10.52787/agl.v56i2.518Keywords:
Ampulloma, endoscopic resection, biodegradable pancreatic stent, endoscopic retrograde cholangiopancreatography, pancreatitisAbstract
Periampullary tumors are characterized by their low incidence and are often incidental findings during endoscopic procedures performed for other reasons. Among these, ampullary adenomas carry a potential for malignant transformation, making early detection and timely treatment essential. The choice of resection method primarily depends on the size of the lesion and the degree of deep-layer infiltration, factors that may hinder endoscopic resection and lead to the need for surgical management. Endoscopic resection is usually performed via endoscopic retrograde cholangiopancreatography, and the placement of a pancreatic stent is an effective preventive measure to reduce the risk of post-procedural pancreatitis, one of the most common complications. We present the first documented case in Argentina of endoscopic resection of an ampullary adenoma with placement of a biodegradable pancreatic stent.
References
-1. Vanbiervliet G, Strijker M, Arvanitakis M, Aelvoet A, Arnelo U, Beyna T, et al. Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2021;53(4):429-48.
-2. Lorenzo-Zúñiga V, Moreno de Vega V, Domènech E, Boix J. Diagnóstico y tratamiento de los tumores de la papila de Vater. Gastroenterol Hepatol. 2009;32(2):101-8.
-3. Membrillo-Romero A, De la Fuente-Lira M, Carvallo-Guevara P, Rendón-Macías ME, Riojas-Garza A. Ampullary tumors: presurgical staging by endoscopic ultrasonography. Diagnostic test study. Cir Cir. 2019;87(3):278-84.
-4. Taliente F, Bianco G, Moschetta G, Franco A, Giovinazzo F, Agnes S, et al. From endoscopic resection to pancreatoduodenectomy: a narrative review of treatment modalities for the tumors of the ampulla of Vater. Chin Clin Oncol. 2022;11(3):23.
-5. Alali A, Espino A, Moris M, Martel M, Schwartz I, Cirocco M, et al. Endoscopic resection of ampullary tumours: long-term outcomes and adverse events. J Can Assoc Gastroenterol. 2020;3(1):17-25.
-6. Kim GE, Siddiqui UD. Endoscopic resection techniques for duodenal and ampullary adenomas. VideoGIE. 2023;8(8):330-5.
-7. Harewood GC, Pochron NL, Gostout CJ. Prospective, randomized, controlled trial of prophylactic pancreatic stent placement for endoscopic snare excision of the duodenal ampulla. Gastrointest Endosc. 2005;62(3):367-70.
-8. Sofuni A, Maguchi H, Itoi T, Katanuma A, Hisai H, Niido T, et al. Prophylaxis of post-endoscopic retrograde cholangiopancreatography pancreatitis by an endoscopic pancreatic spontaneous dislodgement stent. Clin Gastroenterol Hepatol. 2007;5(11):1339-46.
-9. Pérez-Cuadrado Robles E, Lakhtakia S, Othman H, Tewethia HV, Yaacob N, Jarmin R, et al. A new biodegradable stent in bilio-pancreatic diseases: a prospective multi-center feasibility study. Rev Esp Enferm Dig. 2022;114(9):529-533.
-10. Anderloni A, Fugazza A, Maroni L, Ormando V, Maselli R, Carrara S, et al. New biliary and pancreatic biodegradable stent placement: a single-center, prospective, pilot study. Gastrointest Endosc. 2020;92(2):405-411.
-11. Farooqui W, Storkholm JH, Krohn PS, Penninga L, Snitkjaer C, Burgdorf SK. Intraoperative biodegradable stent placement to reduce complications after pancreatoduodenectomy – Interim results from a randomised clinical trial. Langenbecks Arch Surg. 2026. https://doi.org/10.1007/s00423-02604072-9
-12. Abbasi A, Anjum R, Tewatia P, Menon S. Cost-effectiveness of biodegradable pancreatic stents in post-ERCP pancreatitis prophylaxis. Pancreatology. 2026:355-362.
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Guido Orbe, Agustín Di Santo, Camila Briz, Jonnathan Efrain Rios Garzon, Luis Viola
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
